Provider Demographics
NPI:1215373394
Name:HUGGINS, LAUREN BUNTEN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:BUNTEN
Last Name:HUGGINS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2521 S CASHUA DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-5350
Mailing Address - Country:US
Mailing Address - Phone:843-536-4888
Mailing Address - Fax:843-799-0992
Practice Address - Street 1:2521 S CASHUA DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-5350
Practice Address - Country:US
Practice Address - Phone:843-536-4888
Practice Address - Fax:843-799-0992
Is Sole Proprietor?:No
Enumeration Date:2013-05-16
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6968225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist